LOG BOOK WITH MINUTE TO MINUTE PROGRAM (SURGEON) WORLD LAPAROSCOPY HOSPITAL X-100, CYBER CITY, GURGAON, INDIA, PIN CODE-122002 DMAS STARTING FROM 15 TH OF MONTH DIPLOMA: MINIMAL ACCESS SURGERY DOCTOR S NAME Month From To CONTACT DETAILS OF THE FACULTY DR. R.K MISHRA, MOB.9811416838, E-MAIL: - md@laparoscopyhospital.com DR. J.S CHOWHAN, MOB.9811067797, E-MAIL: - jschowhan85@gmail.com
DAY - 1 DATE:- 09:00 am - 11:00am Laparoscopic Hands On Intra-Corporeal Suturing with Ipsilateral port position LECTURE / PPT / VIDEO PRESENTATION 11:00am - 01:30pm FOR SURGEON:- PowerPoint presentation and video demonstration and Discussion of principles of Laparoscopic Ventral Hernia Repair. FOR GYNAECOLOGIST: - Power Point presentation and video demonstration and Discussion of Laparoscopic Burch Suspension. 01:30pm - 02:00pm 02:00pm - 04:00pm Demonstration of Laparoscopic Ventral Hernia Repair and Burch Suspension in Laparoscopic Lab with the help of tackers and Suture Passer. Gynecologists will learn use of Weston knot, i.e. one of the fantastic knots used in various gynecological and urological procedures. Self-Assessment: -
DAY - 2 09:00am - 11:00am Laparoscopic Hands On Intra-Corporeal Suturing with choreographic movements without swording of instruments. LECTURE / PPT / VIDEO PRESENTATION 11:00am - 01:30pm For Surgeons: PowerPoint Presentation and video demonstration of Laparoscopic Management of Duodenal Perforation. FOR GYNECOLOGIST PowerPoint presentation and video demonstration and Discussion of principles of Laparoscopic Myomectomy. 01:30pm - 02:00pm 02:00pm - 04:00pm Practice of Laparoscopic Ventral Hernia Repair and Burch Suspension in Laparoscopic Lab with the help of tackers and Suture Passer. Hands On practice of two port ventral hernia repairs. Gynecologists will learn use of Weston knot, i.e. one of the fantastic knots used in various gynecological and urological procedures. Installation and learning of the software used in movie making and video editing by the Trainee doctors in their Laptops. Self Assessment:-
DAY - 3 009:00am - 11:00am Hands On practice of laparoscopic Tissue Retrieval Techniques: Practice of various ways of Laparoscopic Tissue retrieval techniques including, use of endobag, morcellator and hand ports in various surgical Gynecological and urological minimal access surgical procedures + Port Closure Technique practice at the end of laparoscopic surgery. LECTURE/PPT/VIDEO PRESENTATION 11:00am - 01:30pm For Surgeon: PowerPoint presentation and video demonstration and Discussion of principles of Laparoscopic Fundoplication (Nissen and Toupet). For Gynecologists: PowerPoint presentation and video demonstration and Discussion of principles of Laparoscopic Ovarian Surgery (Presentation of laparoscopic oophorectomy, Ovarian Cystectomy including laparoscopic resection of Endometrioma). 01:30pm - 02:00pm 02:00pm - 04:00pm Hands On Laparoscopic Movie Making and Video Editing techniques by the help of special software. Hands on Training on dissection of Gall Bladder / Ovary without rupturing of the Organ. Self Assessment:-
DAY - 4 09:30am - 12:30pm Batch A 01:00pm- 04:00 pm Batch B HANDS ON TRAINING IN WET LAB IN OPERATION THEATRE ENVIRONMENT LAPAROSCOPIC SURGEON DATE SIGNATURE 1 Laparoscopic Fundoplication 2 Laparoscopic Repair of Duodenal Perforation 3 Laparoscopic Nephrectomy 4 Laparoscopic Splenectomy 5 Laparoscopic Gastric banding 6 Laparoscopic Sleeve Gastrectomy 7 Laparoscopic Gastric Plication 8 Laparoscopic Gastric Bypass 9 Laparoscopic Repair of Rectal Prolapse 10 Laparoscopic Heller s Myotomy 11 Laparoscopic Sympathectomy 12 Laparoscopic Low Anterior Resection 13 Laparoscopic Varicocelectomy 14 Laparoscopic Pyeloplasty 15 Laparoscopic Retroperitoneoscopy 12:00pm-12:30pm After this long day will finish.
DAY 5 09:00am - 11:00am Hands on Training on Laparoscopic Approximation Techniques Especially Bowel Anastomosis. LECTURE/PPT/VIDEO PRESENTATION 11:00am - 01:30pm For Surgeon & Gynecologists: Recent Advances in Minimal Access Surgery. An overview of Trans Luminal Endoscopic Microsurgery, and Single Incision Laparoscopic Surgery. FOR SURGEONS: - MIPH for Hemorrhoids and Laparoscopic Treatment of Hydatid Cyst of the Liver. FOR GYNECOLOGIST: - Laparoscopic Management of Stress Incontinence TVT, TOT and other Newer Slings. 01:30pm - 02:00pm 02:00pm - 04:00pm Hands On practice of Laparoscopic Intracorporeal Continuous Suturing with Dundee Jamming Knot and Aberdeen Termination (Hands On Training in O. T. environment). Use of continuous suturing in hernia surgery urinary bladder repair and gastric plication, sleeve gastrectomy and TLH. Ambidexterity will also be practiced as recommended by WALS and SAGES. Self-Assessment: -
DAY 6 DOCTORS S NAME: 09:00am - 11:00am Practical of Single Incision Laparoscopic Surgery with real SILS instruments. LECTURE / PPT / VIDEO PRESENTATION 11:00am - 01:30pm For Surgeon: Power Point presentation and video demonstration and Discussion of principles of Laparoscopic Colorectal Surgery include Sigmoidectomy and Low Anterior Resection. For Gynecologists: Power Point presentation and video demonstration and Discussion of principles of Sacrocolpopexy with uterus and without uterus after hysterectomy, Vault Prolapse Repair 01:30pm - 02:00pm 02:00pm - 04:00pm Top Gun Drill Laparoscopic Hands On Exercises of Surgeons Choice under supervision. Self-Assessment: -
DAY - 7 PRACTICAL: - - 12:30pm Batch A 01:00 pm- 04:00 pm Batch B 09:30am HANDS ON TRAINING IN WET LAB IN OPERATION THEATRE ENVIRONMENT LAPAROSCOPIC SURGEON DATE SIGNATURE 1 Laparoscopic Fundoplication 2 Laparoscopic Repair of Duodenal Perforation 3 Laparoscopic Nephrectomy 4 Laparoscopic Splenectomy 5 Laparoscopic Gastric banding 6 Laparoscopic Sleeve Gastrectomy 7 Laparoscopic Gastric Plication 8 Laparoscopic Gastric Bypass 9 Laparoscopic Repair of Rectal Prolapse 10 Laparoscopic Heller s Myotomy 11 Laparoscopic Sympathectomy 12 Laparoscopic Low Anterior Resection 13 Laparoscopic Varicocelectomy 14 Laparoscopic Pyeloplasty 15 Laparoscopic Retroperitoneoscopy 12:30pm-01:00pm -After this long day will finish.
DAY-8 09.00am 11.30am For Surgeons Overview of Upper and Lower GI endoscopy. Demonstration of Instrument design. 11.30am-02.00pm Hands on training of Upper GI endoscopy Laparoscopic Thoracoscopic Procedures including laparoscopic Repair of Hiatus Hernia, Sympathectomy and Thoracoscopic Heller s Oesophageal myotomy. Laparoscopic Varicocelectomy and Surgery for Undescended Testes (Powerpoint Presentation of various ways of varicocelectomy, Laparoscopic Orchiodectomy and laparoscopic management of undescended testes). For Gynecologist Hands of practice of operative hysteroscopy Instrument Design of Operative Hysteroscopy. Discussion of management of Pelvic floor repair. PowerPoint Presentation and video demonstration of Diagnostic and Operative Hysteroscopy (Presentation of various hysteroscopic procedures including TCRE, Polypectomy, Hysteroscopic Myomectomy and Metroplasty). 2.00pm-02.30pm Self Assessment:-
DAY -9 009:00am - 11:00am LECTURE / PPT / VIDEO PRESENTATION For Surgeon & Gynecologist:- An overview of Robotic Surgery Hands On Training. 11:00am - 01:30pm Demonstration of Robotic Instruments, working principles of Patient Cart, Vision Cart and Master console. Docking of Robotic Instruments with Robotic Arm. 01:30pm - 02:00pm 02:00pm 04:00pm For Surgeon:- Basic "Hands On" Training of Robotic Surgery on real da Vinci Surgical Robot. Self Assessment:-
DAY - 10 09.00am 11.00am Demonstration of use of Fibrin Glue Laparoscopic General Procedures Hands on exercises of Surgeon choice. 11:00am - 01:30pm Laparoscopic Gastric Bypass and Sleeve Gastrectomy and Gastric Banding. Minimal Access CBD Exploration (Choledocolithotomy) For Gynecologist Discussion of Laparoscopic Management of Vesicovaginal Fistula. FOR SURGEONS 01:30pm - 02:00pm 02:00pm-04:00pm FOR SURGEONS Hands on exercises of Surgeon choice with Ipsilateral and Contralateral Port position under supervision. Self Assessment:-
DAY -11 09:30am - 12:30pm Batch A 01:00 am- 04:00 pm Batch B HANDS ON TRAINING IN WET LAB IN OPERATION THEATRE ENVIRONMENT LAPAROSCOPIC SURGEON DATE SIGNATURE 1 Laparoscopic Fundoplication 2 Laparoscopic Repair of Duodenal Perforation 3 Laparoscopic Nephrectomy 4 Laparoscopic Splenectomy 5 Laparoscopic Gastric banding 6 Laparoscopic Sleeve Gastrectomy 7 Laparoscopic Gastric Plication 8 Laparoscopic Gastric Bypass 9 Laparoscopic Repair of Rectal Prolapse 10 Laparoscopic Heller s Myotomy. With Thoracoscopic Hellers Myotomy 11 Laparoscopic Sympathectomy with Thoracoscopic Sympathectomy 12 Laparoscopic Low Anterior Resection with Mesh Rectopexy 13 Laparoscopic Varicocelectomy 14 Laparoscopic Pyeloplasty 15 Laparoscopic Retroperitoneoscopy 12:30pm-01:00pm After this long day will finish.
DAY - 12 009:00am 11:00pm OBJECTIVE SKILLS CLINICAL EXAMINATIONS BOTH FOR SURGEON AND GYNAECOLOGIST 11:00pm - 12:00pm EXAMINATION: - Qualifying written exam for award of D-MAS 12:00pm-1:30pm FOR SURGEON, UROLOGIST AND GYNAECOLOGIST Mistakes and Errors in Minimal Access Surgery (Presentation of Commonly encountered Laparoscopic complications in Minimal Access surgery and various ways of dealing with these problems) 01:30pm - 04:00pm FAREWELL LUNCH Shuttle Bus will be arranged for the participants to go to a nearby hotel, Gurgaon, from World Laparoscopy hospital for Certification Ceremony. Candidate will be awarded Diploma Certificates in Minimal Access Surgery. The Diploma Candidates will also be given Certificate of da Vinci Robotic Surgery training. The Certification Ceremony will be followed by the GALA LUNCH. Supervisor Assessment:-
FINAL ASSESSMENT DIPLOMA MINIMAL ACCESS SURGERY Doctor s Name: - S.No. LECTURE/PPT HANDS ON TRAINING DATE & SIGNATURES 1. Discussion of principles of Laparoscopic Ventral Hernia Repair. Laparoscopic Hands On Intra-corporeal Suturing With choreographic movements without swording of instruments. 2. Laparoscopic Management of Duodenal Perforation. Practice of Laparoscopic Ventral Hernia Repair & 3. a) Discussion of principles of Laparoscopic Fundoplication (Nissen and Toupet) & Nephrectomy. b) Title of procedure----------------------------------------- ---------------------------------------------------------------- use of Weston knot. Practice of laparoscopic Tissue Retrieval Techniques & use of endobag, morcellator + Port Closure Technique. Laparoscopic Movie Making and Video Editing techniques 4. Training on live tissue 5. Laparoscopic Approximation Techniques An overview of Trans Luminal Endoscopic Microsurgery, and Single Incision Laparoscopic Surgery. Especially Bowel Anastomosis. 6. MIPH for Hemorrhoids and Laparoscopic Treatment of Hydatid Cyst of the Liver. 7. Discussion of principles of Laparoscopic Colorectal Surgery include Sigmoidectomy and Low Anterior Resection. Laparoscopic Intracorporeal Continuous Suturing with Dundee Jamming Knot and Aberdeen Termination Practical of Single Incision Laparoscopic Surgery with real SILS instruments. 8. Training on live tissue. 9. Laparoscopic Gastric Bypass and Sleeve Gastrectomy and Gastric Banding. Instrument Design and practical aspects of Upper and Lower G I endoscopy. 10. Minimal Access CBD Exploration (Choledocolithotomy) Demonstration of Tayside knot and Mishra s knot. 11. An overview of Robotic Surgery. Basic Hands On Training of Robotic Surgery on real da Vinci Surgical Robot. 12. Discussion of principles of various methods of Splenectomy. Digital Prescription writing software used in Laparoscopic Surgery. Top Gun Drill Laparoscopic Hands On Exercises. 13. Laparoscopic Thoracoscopic Procedures, Laparoscopic varicocelectomy, Laparoscopic Orchiodectomy and laparoscopic management of undescended testes). Top Gun Drill Laparoscopic Hands On Exercises. 14. Training on live tissue 15. Objective Skills Clinical Examination Written Qualifying Exam for D-MAS Final Assessment.. RESULT Course Director